Clinical Quality Improvement Coordinator

Job not on LinkedIn

🔥 12 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $28 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Guide Healthcare

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2018

⚕️ Healthcare Insurance

🏥 Healthcare

🎯 Recruiter

Healthcare Insurance • Healthcare • Recruitment

Guide Healthcare is leading a movement where creativity delivers positive change in the healthcare sector. The company specializes in allied health service provision and healthcare recruitment, focusing on the support and treatment of older adults. With a commitment to adding value to their clients, partners, and teams, Guide Healthcare aims to do things differently in the industry.

📋 Description

• Serve as a subject matter expert on QI measures, services, customers, and quality initiatives for commercial and governmental payers • Conduct proactive patient outreach to identify and address quality gaps • Educate patients on preventive care measures and schedule screenings or appointments • Facilitate adherence to treatment plans and help improve health outcomes • Collect quality data through EMR, claims, and provider outreach • Manage daily work across EMR systems, payer portals, vendor platforms, Guidehealth applications, Microsoft 365, and Teams • Work with patient lists, gap lists, sourced health data, and medical records • Use QI resources including measure/project instructions, NCQA/HEDIS specifications, coding documents, and quick reference guides • Prioritize work to meet quality reporting deadlines and requirements • Communicate quality performance, barriers, and improvement strategies internally and with customers • Follow established QI workflow policies and procedures • Collaborate with customers, payers, and co-workers • Participate in departmental and payer-sponsored webinars, trainings, and support calls • Develop positive professional relationships with co-workers, customers, providers, and providers’ support staff

🎯 Requirements

• Associate degree or greater in a related field, or certified/licensed professional such as CMA or LPN • Minimum 1–3 years of experience in a healthcare setting • Minimum 2 years’ experience in Medicare Advantage Quality data abstraction and patient outreach • Experience working, charting, or performing data abstraction via EMR systems • Knowledge of medical terminology, quality measures, and medical billing/coding • Technical proficiency managing health data, Excel, PowerPoint, and multiple systems and applications • Highly skilled in verbal and written communications • Strong attention to detail and organizational skills • Ability to meet hard deadlines • Ability to collaborate effectively with management, co-workers, and customers • Internet connection capable of video calls and internal/external systems, with minimum 100 Mbps download and 10 Mbps upload • Must follow security policies and procedures protecting PHI, PII, and company intellectual property • Knowledge or experience in quality improvement initiatives and payer-required data submissions • Extensive experience with quality database entries and reporting • Experience interpreting and reporting quality information and training staff • Proficiency in EMR software and cloud platforms

🏖️ Benefits

• Fully remote work arrangement • Necessary work equipment provided at no charge • Medical, dental, and vision plans • 401(k) plan with a 3% employer match to a 6% employee contribution • Life and disability insurance • Voluntary life insurance options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Professional learning and development resources